Ohio Revised Code
Chapter 5119 | Department of Mental Health and Addiction Services
Section 5119.191 | Reimbursement for Substance Use Treatment Drugs in County Jails.

Effective: September 30, 2021
Latest Legislation: House Bill 110 - 134th General Assembly
(A) As used in this section:
(1) "Drug used in medication-assisted treatment" means a drug approved by the United States food and drug administration for use in medication-assisted treatment, regardless of the method the drug is administered or the form in which it is dispensed, including an oral drug, an injectable drug, or a long-acting or extended-release drug. "Drug used in medication-assisted treatment" includes all of the following:
(a) A full agonist;
(b) A partial agonist;
(c) An antagonist.
(2) "Drug used in withdrawal management or detoxification" means a drug approved by the United States food and drug administration for use in, or a drug in standard use for, mitigating opioid or alcohol withdrawal symptoms or assisting with detoxification, regardless of the method the drug is administered or the form in which it is dispensed, including an oral drug, an injectable drug, or a long-acting or extended-release drug. "Drug used in withdrawal management or detoxification" includes all of the following:
(a) A full agonist;
(b) A partial agonist;
(c) An antagonist;
(d) An alpha-2 adrenergic agonist.
(3) "Medication-assisted treatment" has the same meaning as in section 340.01 of the Revised Code.
(4) "Prescribed drug" has the same meaning as in section 5164.01 of the Revised Code.
(5) "Withdrawal management or detoxification" means a set of medical interventions aimed at managing the acute physical symptoms of intoxication and withdrawal. Detoxification denotes a clearing of toxins from the body of the patient who is acutely intoxicated, dependent on a substance of abuse, or both. Withdrawal management seeks to minimize the physical harm caused by the intoxication and withdrawal from a substance of abuse. Withdrawal management or detoxification occurs when the patient has a substance use disorder and either evidence of the characteristic withdrawal syndrome produced by withdrawal from that substance or evidence that supports the expectation that such a syndrome would develop without the provision of detoxification services. Withdrawal management alone does not constitute substance abuse treatment or rehabilitation.
(B) There is hereby created a reimbursement program for drugs used in medication-assisted treatment or drugs used in withdrawal management or detoxification. The program shall be administered by the department of mental health and addiction services.
The purpose of the program is to provide state reimbursement to counties for the cost of drugs used in medication-assisted treatment or drugs used in withdrawal management or detoxification and administered or dispensed to inmates of county jails in this state. Each county shall ensure that inmates have access to drugs used in medication-assisted treatment or drugs used in withdrawal management or detoxification that are prescribed drugs covered by the fee-for-service component of the medicaid program.
The department, based on factors it considers appropriate, shall allocate an amount to each county for reimbursement of such drug costs incurred by the county.
(C) The director of mental health and addiction services may adopt rules to implement this section. The rules, if adopted, shall be adopted in accordance with Chapter 119. of the Revised Code.
Last updated September 9, 2021 at 4:05 PM

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